Fertility Patterns and Maternal Healthcare Utilisation among Women in Doma Local Government Area of Nasarawa State, Nigeria
High fertility and low maternal healthcare utilisation remain critical public health concerns in rural Nigeria, contributing to preventable maternal complications and poor health outcomes. Many women continue to experience early childbearing, frequent pregnancies, and limited access to skilled care. This study examined fertility patterns and maternal healthcare utilisation among women in Doma Local Government Area, focusing on fertility behaviour, level of healthcare use, influencing factors, and health implications. A cross-sectional survey design was adopted. The study population comprised women of reproductive age, with a sample of 400 respondents selected through multistage sampling. Additionally, 12 In-Depth Interviews were conducted to support the quantitative data. Data collection involved structured questionnaires and interview guides. Quantitative data were analysed using frequencies, percentages, mean, and standard deviation, while qualitative data were analysed thematically. Findings showed that fertility patterns are characterised by early childbearing, high number of children, short birth intervals, preference for large family size, and low contraceptive use. Maternal healthcare utilisation was moderate but inconsistent, with low completion of antenatal visits and poor postnatal care uptake. Key determinants include education, income, distance to health facilities, cultural beliefs, and perceived quality of care. The study further revealed that high fertility and low utilisation of maternal healthcare increase the risk of pregnancy complications, maternal weakness, emotional stress, and financial strain. It concludes that fertility behaviour and healthcare utilisation are closely linked and significantly affect women’s health. The study recommends improved reproductive health education, strengthened healthcare services, expanded family planning, and reduced socio-cultural and economic barriers.